Individual provider · Type 1 NPI

Lisa Jungyoon Ha

General Practice Dentistry · New York, NY

NPI number 1336831254 Active · reactivated Apr 16, 2025

Practice location

622 West 168th Street
New York, NY 10032

Call (212) 305-2500 Map

Mailing address

687 S Hobart Blvd, Unit PH32
Los Angeles, CA 90005

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDR61671990 (WA)
General Practice Dentistry Primary 1223G0001X112684 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1336831254

Lisa Jungyoon Ha's National Provider Identifier is 1336831254, issued on May 22, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in New York, NY. The record was last updated on Jul 31, 2026.